Dr. Azhar Aslam
Otolaryngology/Facial Plastic Surgery
1770 E Lake Shore Dr Suite 103
Decatur
, Illinois 62521-3832
Dr. Azhar Aslam
Otolaryngology/Facial Plastic Surgery
1770 E Lake Shore Dr Suite 103
Decatur
, Illinois 62521-3832
(217) 422-9812
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About
Features
Specialties
- Otolaryngology/Facial Plastic Surgery
Languages spoken
- English
Location
First Address
- Dr. Azhar Aslam
- 1770 E Lake Shore Dr Suite 103
- Decatur, IL
- Zip : 62521-3832
- Fax : (217) 422-9812
- Phone : (217) 422-9036
Second Address
- Dr. Azhar Aslam
- 1770 E Lake Shore Dr Suite 103
- Decatur, IL
- Zip : 62521-3832
- Fax : (217) 422-9812
- Phone : (217) 422-9036
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207YX0905X | Otolaryngology/Facial Plastic Surgery | MD035339L | PA |
National Provider Identifier
| NPI | 1922057371 |
|---|---|
| Provider Name | Dr. Azhar Aslam |
| First Address | Decatur, IL 62521-3832 |
| Second Address | Decatur, IL 62521-3832 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 10/05/2006 |
| Last Update Date | 28/04/2015 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 000613660001 | (05) | PA |
| AS867969 | BS (01) | PA |
| B36300 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.